Provider Demographics
NPI:1659629590
Name:GARTH SPECIALTY CLINIC, PLLC
Entity Type:Organization
Organization Name:GARTH SPECIALTY CLINIC, PLLC
Other - Org Name:GARTH SPECIALTY CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:HAIDER
Authorized Official - Middle Name:
Authorized Official - Last Name:AFZAL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:281-428-8203
Mailing Address - Street 1:6051 GARTH ROAD
Mailing Address - Street 2:SUITE 3
Mailing Address - City:BAYTOWN
Mailing Address - State:TX
Mailing Address - Zip Code:77521-9814
Mailing Address - Country:US
Mailing Address - Phone:281-428-8203
Mailing Address - Fax:281-428-0624
Practice Address - Street 1:6051 GARTH ROAD
Practice Address - Street 2:SUITE 3
Practice Address - City:BAYTOWN
Practice Address - State:TX
Practice Address - Zip Code:77521-9814
Practice Address - Country:US
Practice Address - Phone:281-428-8203
Practice Address - Fax:281-428-0624
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-27
Last Update Date:2013-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care
No207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty